| NPI | 1407317506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA LPCC14130) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA APCC8126) |
| 101YM0800X Counselor, Mental Health (Licence: CA APCC8126) | |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2024-08-06 |